LEONIE EVADNEY BOOTHE CNA NPI 1366796468

NPI Information

  • NPI: 1366796468
  • Provider Name: LEONIE EVADNEY BOOTHE, CNA
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 80 NE 166 STREET
    MIAMI, FL
    ZIP 33162
  • Phone: (305) 947-1439

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NPI Details

Leonie Evadney Boothe, CNA is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Leonie Evadney Boothe, CNA NPI is 1366796468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 NE 166 STREET
MIAMI, FL
ZIP 33162
Phone: (305) 947-1439
Fax: (305) 947-1439

The enumeration date for this NPI number is 10/29/2012 and was last updated on 9/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthCNA82954FLORIDANo
2310400000XAssisted Living FacilityA9211FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141080600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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